CLIA lab

CLIA 05D2038926: Jacklin Poladian MD Inc

Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2038926 belongs to Jacklin Poladian MD Inc in Pasadena, CA.

Certificate of Waiver, effective March 28, 2026, expires March 27, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 28, 2026
Certificate expiration
March 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 28, 2012
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2038926
Lab name
Jacklin Poladian MD Inc
Address
800 S Fairmount Ave Ste 420, Pasadena, CA 91105
Phone
(626) 200-4500
Fax
(626) 795-0704

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Jacklin Poladian MD Inc in Pasadena?

05D2038926, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jacklin Poladian MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2038926 expire?

The CMS file lists March 27, 2028 as the certificate expiration date; the certificate took effect March 28, 2026.

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